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Application Form

Jai Durga and Company, represented by Ashok Sharma, has submitted an application for a No Objection Certificate (NOC) to establish a manufacturing unit in Ghaziabad, Uttar Pradesh. The application includes details about the proposed production capacity, raw materials, and compliance with environmental regulations. The applicant guarantees adherence to pollution control standards and has attached necessary documents for review.

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0% found this document useful (0 votes)
25 views5 pages

Application Form

Jai Durga and Company, represented by Ashok Sharma, has submitted an application for a No Objection Certificate (NOC) to establish a manufacturing unit in Ghaziabad, Uttar Pradesh. The application includes details about the proposed production capacity, raw materials, and compliance with environmental regulations. The applicant guarantees adherence to pollution control standards and has attached necessary documents for review.

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advocatenavam
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© © All Rights Reserved
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Application No : 31735692

Consent to Establish (No Objection Certificate) Form

Application for Consent To Establish

Note:1. All enclosures, appendices, projects, plans and scheme to be submitted in triplicate.
2.Incomplete application will be rejected.
3.No work pertaining to site development or construction of industry be undertaken without NOC doing so
would be the sole responsibility of the applicant and against public interest.

From , Dated
JAI DURGA AND COMPANY, Second Floor 07/05/2025
,3/8, Site 2, Loni Road Industrial Area, Ajanta
Compound, MohanNagar, ,GHAZIABAD,201010
City:
Block:Bhojpur
District:GHAZIABAD

To ,
The Members Secretary,
Uttar Pradesh Pollution Control Board
T.C.12V, Vibhuti Khand, Gomti Nagar,
Lucknow(226010).

Sir,
I/We M/s JAI DURGA AND COMPANY (name of proposed unit), whose owner is Mr./Mrs. ASHOK
SHARMA hereby apply for Consent To Establish (NOC) from pollution and Environmental angle for
proposed production of per/day by use of main raw material per/day at proposed land . The annexure,
appendices other particulars and plans in triplicate are attached herewith.
1. I/We further declare that the information furnished in the Annexure, appendices and plans is
correct to the best of my/our knowledge.
2. I/We hereby guarantee that quality of final discharge of effluent and emissions will be
within the prescribed standards of the Board. The trial production will be started only after
implementing and operating the pollution control advices as proposed herein.
3. I/We hereby guarantee that quality of final discharge of effluent and emissions will be
within the prescribed standards of the Board. The trial production will be started only after
implementing and operating the pollution control advices as proposed herein.
4. I/We undertake that I/we will apply for seeking consent under section 25/26 of Water Act
and consent under section-21 of the Air Act at least two months before start of trial and
comply with the Water Cess Act-1977.
5. I/We declare that the provisions of these Acts have been known to me/us.
6. I/We accept that the application is for proposals submitted and if the site is not approved
then the final decision of Board will be accepted.

Yours faithfully,

Signature
Name of Applicant:- ASHOK SHARMA
Address of applicant:- C-175, GALI NO 6, GAGAN
VIHAR BHOPURA
Dated :07/05/2025

(Annexure to NOC Application)

1. Name and Address, Category & JAI DURGA AND COMPANY and Second Floor ,3/8, Site
Type of Industry 2, Loni Road Industrial Area, Ajanta Compound,
MohanNagar, ,GHAZIABAD,201010
WHITE
Electrical and electronic item assembling ( completely dry
process)
2. General
2.1 Name & Address of Applicant ASHOK SHARMA & C-175, GALI NO 6, GAGAN VIHAR
BHOPURA
2.2 Proposed Location (Attach location Attatched
map of site Showing of point 2.3)
2.3 Details of direction and distance of Surrounding of Distance (in Description
nearest sanctuary, highway railway Site meters)
line, human settlements, river, drain,
reserved forests religious places etc
form the site (In a 5 km. distance)
2.4 Present use of land (enclousure
certificate) Agricultural/ Residential/ Not Attatched
Commercial/ Industrial
2.5 Details of letter of intent/SSI
Registration Document-Attatched
2.6 Brief process description with flow
chart Enclosure No.-
Document-Not Attatched
2.7 List of main products with daily Product Name Quantity
designed capacity
Cartridges 1000 UNIT PER 1000 Metric Tonnes/month
MONTH
UPS systems 100 UNIT 100 Metric Tonnes/month
PER MONTH
LCD TV 100 UNIT PER 100 Metric Tonnes/month
MONTH
2.8 List of bye products with daily By Product Name Licence Quantity Installed Quantity
designed capacity
NA 00 1000
2.9 List of Basic raw material with daily Raw Materials Name Quantity
consumption
Toner Powder Metric Tonnes/Day
Electrical & Electronic Metric Tonnes/Day
Components
Display & Interface Metric Tonnes/Day
Materials
Mechanical & Structural Metric Tonnes/Day
Component
Peripheral Parts Metric Tonnes/Day
2.10 List of other industrial units operated
by applicantorits partners.
2.11 Capital cost of project 40.5
2.12 Expected date of commissioning of July 2025
plant
3. Water Pollution
3.1 Source of Supply of water Source Type Source Name Quantity (KL/D)
3.2 Daily Consumption of water Source Consumption Quantity (KL/D)
3.3 Total quantity of liquid effluents Generation Waste Water Generation
discharged per pay. Quantity (KL/D)
3.4 Are there any expected Pollutants. Yes
3.5 Type of Pollutants Liquid
3.6 Indicate available information on Name of Effluent Characteristics Available
effluent characteristic as below : Information
3.6 Is the effluent to be generated within Yes
specifications
3.7 Proposed Time bound programme
for Water Pollution Control System. Document-Not Attatched
3.8 Mode of final discharge Open Drain
3.9 Point of final discharge Municipal
3.10 Is industrial effluent allowed to mix Yes
with domestic effluent, if no specify
disposal of domestic effluent.
4. Air Pollution
4.1 Type and quantity of fuel consumed Fuel Consumption
per day in manufacturing or
subsidiary process.
4.2 Details of emissions form fuel Expected,Industrial
combustion
4.3 Expected process emissions sources
quantity
4.4 Proposed Air Pollution Control Not Attatched
System for flue gas and process
emission
4.5 Capacity of Proposed Diesel
Generating Set in K.V.A.
4.6 Height of all sources of emission
5. Solid/Waste Nature of Approxim Total Hazardou Mode of
Waste ate Quantity( s Disposal
Compositi per day)
on
6 Details of use and storage of Chemical Daily Use Storage at a time
Hazardous materials
6.1 Plan for Safety and disaster
management Document-Not Attatched

Dated : 07/05/2025 Name of Applicant:- ASHOK SHARMA


Address of Applicant:- C-175, GALI NO 6,
GAGAN VIHAR BHOPURA
INFORMATION REQUIRED FOR
NOC:-
1. Location Map (Attached)
2. form (Attached)
3. Layout Map (Attached)
4. Environmental Impact Assessment Report (Attached)
5. SSI Registration (Attached)
6. Land Ownership (Attached)
7. Balance sheet Or CA Certificate (Attached)

Common General Information required for consent to operate under Water Pollution
(Prevention & Control) Act, 1974 and Air Water Pollution (Prevention & Control)Act,
1981.

1. (a) Full name of the applicant with address : ASHOK SHARMA,C-175, GALI NO
6, GAGAN VIHAR BHOPURA
(Tel. No.) -
(b) Is the firm registered? : YES
(c) If yes, give the number & date of registration and : ,
authority with whom registered.
(d) Full Address of the registered office :
(e) Names, designation and full address of persons like : ASHOK SHARMA
Partners, Managing Director/Manager etc. C-175, GALI NO 6, GAGAN VIHAR
BHOPURA
GHAZIABAD
9654202869
(f) Under which category does the industry fall: : small
Large/Medium/Small Scale.
2. Full name of the : JAI DURGA AND COMPANY
Land/Premises/Institute/Factory/Industry/Local body
with address Address: Second Floor ,3/8, Site 2,
Loni Road Industrial Area, Ajanta
Compound, MohanNagar,
,GHAZIABAD,201010
Tel. No.:-
E-mail :
3. Give revenue /City Survey No. of the land/premises : District:GHAZIABAD
for which the application is made: Town/Village:
City Survey no./Revenue Survey no.:
Khata No.:
Area in Hectares:
4. State month and year in which the plant was actually : July,2025
put into commissions or is proposed to be put into
commission:
5. State the Civil/Military /Defence/industrial Estate etc. : Civil
under whose administrative jurisdiction the
occupiers/industrial plant is situated: District:GHAZIABAD
Corporation:
Village Panchayat
Contonment:
Defence Deptt:
State Govt:
Prohibited areas:
Others:
6. (a) State whether plant site has been declared as : NO
prohibited area:
(b) If yes, state the name of the Authority and furnish a : -
certified copy of the order under which the area has
been declared as prohibited area

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